Indian Heritage Culture Camp
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Registration for Indian Heritage Culture Camp 2023
student first name *
student last name *
date of birth *
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Year
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grade in fall 2023 *
telephone *
gender *
male
female
Address *
city *
state *
zip *
email * - Use separate e-mails for each child
Knowledge of Hindi - Speaking *
Select an option
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Knowledge of Hindi - Understanding *
Select an option
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Knowledge of Hindi - Script *
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Knowledge of Hindi - Reading *
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Health-related information, if any*
Did you attend any Summer Camp last year or earlier? *
yes
no
Mother's First Name *
Mother's Last Name *
Mother's Cell Number *
Mother's Email *
father's First Name *
father's Last Name *
father's Cell Number *
father's Email *
Emergency Contact Name *
I/We acknowledge that I/we have been advised to make sure that my/our child is physically and mentally fit to participate in various activities of Indian Heritage Culture Camp.
Note: After filling this form, please send signed Registration Form to: Indian Heritage Culture Camp, 203 Cheltenham Lane Munroe Falls, Ohio 44262. The registration fee of $400.00 is non-refundable.